Get Violent Incident Log Sample Template.docx - Dir Ca

Filling out the Violent Incident Log Sample Template is essential for documenting workplace violence incidents effectively. This guide will provide clear and detailed instructions on how to complete this important form online.

Follow the steps to fill out the Violent Incident Log template accurately.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter the employee's name in the designated field at the top of the form.
3. Indicate the sex of the employee by selecting either 'M' for male or 'F' for female.
4. Fill in the job title and department of the employee involved in the incident.
5. Provide the supervisor's name and title for the employee.
6. Document the date and time of the incident in the specified format (am/pm).
7. Specify the exact location where the incident occurred (e.g., room number, floor).
8. Write a detailed description of the incident, ensuring it reflects the employee's perspective.
9. Identify who carried out the violence or assault and check the appropriate box from the provided options.
10. Indicate the situation of the employee at the time of the incident by checking all applicable boxes.
11. Specify the exact location of the incident from the listed choices.
12. Select the type of incident by checking all relevant boxes, providing specifics where necessary.
13. Detail if medical treatment was received, if security or law enforcement was contacted, and whether the employee took time off work.
14. Answer if there is a continuing threat to employees and describe any actions taken to protect them.
15. Complete the report by entering the name, title, phone number, email, date completed, and the date submitted.
16. Once all sections are filled, save your changes, and choose to download, print, or share the form as needed.

Complete your Violent Incident Log form online today to ensure proper documentation and support.